Prevalence of Health Disability and Disability-Free Life Expectancy for ...

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9. Figure 11. Total Life Expectancy and Disability Free Life Expectancy at Birth by Age for Both Sexes in .... communica
Prevalence of Health Disability and Disability-Free Life Expectancy for Illinois, Chicago and Illinois Counties: 2009-2013

Prepared by Mohammed Shahidullah, PhD, MPH, Illinois Center for Health Statistics, Office of Policy Planning and Statistics (OPPS) Nelson Agbodo, MS, MPH, Illinois Health Facilities and Services Review Board and Rahul Patel, BS, Center for Minority Health Services and Illinois Center for Health Statistics June 2016

Acknowledgment We thank Bill Dart, Deputy Director, Office of Policy, Planning and Statistics; Courtney Avery, Administrator, Illinois Health Facilities and Services Review Board; and Veronica Halloway, Acting Division Chief of the Center for Minority Health Services for their support and guidance. Aashay Chavan, Graduate Public Service Intern helped in formatting the tables and figures. We also thank the following persons for their timely advice and valuable suggestions: Sue Ebetsch, Illinois Department of Commerce and Economic Opportunity Tiefu Shen, Office of Policy, Planning and Statistics Tom Szpyrka, Office of Policy, Planning and Statistics Carla Cox, Office of Health Promotion Jenny Aguirre, Center for Minority Health Services and Anne Bendelow, Center for Minority Health Services

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Table of Contents

Acknowledgment ..................................................................................................................................... i Summary ................................................................................................................................................ iv Introduction ............................................................................................................................................ 1 Data and Method .................................................................................................................................... 2 Results .................................................................................................................................................... 2 Disability Prevalence Rates .................................................................................................................... 2 Disability-Free Life Expectancy (DFLE) .................................................................................................... 9 Discussion and Limitations..................................................................................................................... 18 References ............................................................................................................................................ 19

Figures Figure 1. Percent of Total Population and Percent of Population with Functional Disability by Age in Illinois: 2009-2013....................................................................................................................... 3 Figure 2. Percent of Total Male Population and Percent of Male Population with Functional Disability by Age in Illinois: 2009-2013 ............................................................................................................ 3 Figure 3. Percent of Total Female Population and Percent of Female Population with Functional Disability by Age in Illinois: 2009-2013 ....................................................................................................... 4 Figure 4. Percent of Total Population and Percent of Population with Functional Disability by Age in Chicago: 2009-2013 .................................................................................................................... 5 Figure 5. Percent of Total Male Population and Percent of Male Population with Functional Disability by Age in Chicago: 2009-2013 .......................................................................................................... 5 Figure 6. Percent of Total Female Population and Percent of Female Population with Functional Disability by Age in Chicago: 2009-2013 ..................................................................................................... 6 Figure 7. Percent with Functional Disability among Population 65 Years and Over by Sex: 2009-2013 ...... 7 Figure 8. Percent with Functional Disability among Population 65 Years and Over by Sex in Chicago: 2009-2013 .................................................................................................................................. 7 Figure 9. Percent of Population 65+ with Functional Disability by Race in Illinois: 2009-2013 ................... 8 Figure 10. Percent of Population 65+ with Functional Disability by Race in Chicago: 2009-2013 ............... 9 Figure 11. Total Life Expectancy and Disability Free Life Expectancy at Birth by Age for Both Sexes in Illinois: 2009-2011..................................................................................................................... 10 Figure 12. Total Life Expectancy and Disability Free Life Expectancy at Birth by Age for Males in Illinois: 2009-2011 ................................................................................................................................ 11 ii

Figure 13. Total Life Expectancy and Disability Free Life Expectancy at Birth by Age for Females in Illinois: 2009-2011 ................................................................................................................................ 12 Figure 14. Total Life Expectancy and Disability Free Life Expectancy at Birth by Age for Both Sexes in Chicago: 2009-2011 .................................................................................................................. 12 Figure 15. Total Life Expectancy and Disability Free Life Expectancy at Birth by Age for Males in Chicago: 2009-2011 ................................................................................................................................ 13 Figure 16. Total Life Expectancy and Disability Free Life Expectancy at Birth by Age for Females in Chicago: 2009-2011 .................................................................................................................. 14 Figure 17. Disability-Free Life Expectancy (DFLE) as Percentage of Life Expectancy at Birth and at Age 65 Years for Both Sexes in Illinois Counties: 2009-2011 .................................................................. 15 Figure 18. Disability-Free Life Expectancy (DFLE) as Percentage of Life Expectancy at Birth and at Age 65 Years for Males in Illinois Counties:2009-2011 .......................................................................... 16 Figure 19:. Disability-Free Life Expectancy (DFLE) as percentage of Life Expectancy at Birth and at Age 65 Years for Females in Illinois Counties, 2010 ............................................................................... 17

Tables Table 1: American Community Survey’s questions for collecting disability data ..................................... A1 Table 2: Screenshot of the Excel spreadsheet for the computation of disability-free life expectancy ...... A2 Table 3: Prevalence of Disability by Age and Sex in Illinois, Chicago and Illinois Counties: 2009-2013 ..... A3 Table 4: Prevalence of Disability by Race or Ethnicity for Illinois, Chicago and Illinois Counties: 2009-2013 ............................................................................................................................................... A16 Table 5: Projected Population of Illinois, Chicago and Illinois Counties with Disability by Age and Sex : 2010, 2015, 2020, 2025 ........................................................................................................... A19 Table 6: Total Life Expectancy (LE) and Disability-Free Life Expectancy (DFLE) at Ages 0, 35, 65 and 75 Years for Illinois, Chicago and Illinois Counties, 2009-2011 ...................................................... A33

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Summary Illinois and its counties have experienced a decline in mortality and a significant increase in life expectancy for both males and females (Shahidullah & Agbodo, 2014); assessing the part of the remaining years of life a person can expect to live without any functional disability is important for measuring quality of life. In this report, we estimated disability-free life expectancy (DFLE) for Illinois, its counties, and the city of Chicago, using the American Community Survey’s (ACS) definition and data on disability, the U.S. Census Bureau’s population data, and the Illinois Vital Records System’s (IVRS) death data. Demographic-epidemiologic modeling (Sullivan 1971) was used for DFLE’s computation, and GIS mapping for assessing spatial contrast.

Results show significant differences in DFLE between males and females in 94 percent of the counties, Chicago, and statewide, mostly in favor of females. At the state level, a baby girl may live 70.3 years of her 81.6 expected years of life without disability; whereas a baby boy may live 67.0 years without disability out of his 76.6 expected years of life, a difference of 3.3 years (p